PEDRO HENRIQUE XAVIER NABUCO DE ARAUJO
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/61 - Laboratório de Pesquisa em Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina
LIM/61 - Laboratório de Pesquisa em Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina
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conferenceObject THE IMPACT OF PLEURAL CATHETER POSITION ON THE SUCCESS OF BEDSIDE PLEURODESIS(2014) TERRA, Ricardo Mingarini; ARAUJO, Pedro Henrique Xavier Nabuco de; CHATE, Rodrigo Caruso; PEGO-FERNANDES, Paulo- What happens to the pleural space affected by malignant effusion after bedside pleurodesis?(2018) ARAUJO, Pedro H. X. N. de; TERRA, Ricardo M.; SANTOS, Thiago da Silva; CHATE, Rodrigo C.; PAIVA, Antonio F. L. de; PEGO-FERNANDES, Paulo M.Background and objectivesEvaluate radiological characteristics of postpleurodesis pleural space of patients with recurrent malignant pleural effusion(RMPE). MethodsProspective cohort study including patients with RPME treated with bedside pleurodesis. We used CT scans to calculate pleural cavity volume immediately before pleurodesis(iCT) and 30 days after(CT30). Radiological evolution was calculated by the difference between pleural volumes on CT30 and iCT(volume). We categorized initial pleural volume as small(<500mL) or large space(500mL) and volume as positive(>254.49mL), unchanged(-268.77-254.49mL), or negative(<-268.77mL). Futhermore, we analyzed clinical effectiveness, pleural elastance, and adverse events. ResultsA total of 87 patients were analyzed. Pleural volume varied from 35-2750mL in iCT and from 0-2995mL in CT30(P=0.753). A total of 54 patients had initial small pleural space(62.06%) and 33 large(37.93%). Clinical failure occurred in 7.4% of small space group and in 24.6% of large(P=0.051, OR4.0(CI:1.098-14.570)). In small space group, 27.77% evolved with positive, 66.66% with unchanged and 5.55% with negative volume. In the large space group these numbers were respectively 21.21%, 27.27%, and 51.51%. ConclusionsThere is significant variability on pleural space volume. However, pleural volume remains unchanged in many cases. Besides that, more than half patients with initial large space coursed with relevant reduction. Finally, patients with initial small space presented a greater chance of clinical success.
- Ultrasound-guided intrapleural positioning of pleural catheters: influence on immediate lung expansion and pleurodesis in patients with recurrent malignant pleural effusion(2017) ARAUJO, Pedro Henrique Xavier Nabuco de; TERRA, Ricardo Mingarini; SANTOS, Thiago da Silva; CHATE, Rodrigo Caruso; PAIVA, Antonio Fernando Lins de; PEGO-FERNANDES, Paulo Manuel
conferenceObject What Happens to the Pleural Space Affected by Malignant Effusion after Bedside Pleurodesis?(2015) TERRA, Ricardo M.; ARAUJO, Pedro N.; SANTOS, Thiago S.; CHATE, Rdrigo C.; PAIVA, Antonio L.; PEGO-FERNANDES, Paulo M.conferenceObject RELATIONSHIP BETWEEN THE SUCCESS OF BEDSIDE PLEURODESIS AND PLEURAL ELASTANCE IN RECURRENT MALIGNANT PLEURAL EFFUSION(2014) TERRA, Ricardo Mingarini; ARAUJO, Pedro Henrique Xavier Nabuco De; PEGO-FERNANDES, Paulo; CHATE, Rodrigo Caruso- What Happens to the Pleural Space Affected by Malignant Effusion After Bedside Pleurodesis?(2015) ARAUJO, Pedro de; TERRA, Ricardo; SANTOS, Thiago; CHATE, Rodrigo; PAIVA, Antonio Fernando; PEGO-FERNADES, Paulo